Organization
GIOVANNI LUPO, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GIOVANNI LUPO MD (OWNER)
(321) 259-6478
Entity
Organization
Contact information
Practice address
1032 FIELDSTONE DR, MELBOURNE, FL 32940-1633
(321) 435-3500
(321) 752-4489
Mailing address
1032 FIELDSTONE DR, MELBOURNE, FL 32940-1633
(321) 435-3500
(321) 752-4489
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
ME76857
FL
Other
Enumeration date
10/08/2014
Last updated
10/08/2014
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